Please bear with my story; any advice is welcome -- from care to treatment to insurance coverage. After almost three decades of pain and fatigue flare-ups, and misdiagnoses of fibrositis, fibromyalgia and Lyme disease, I had a first psoriasis outbreak that covered 80% of my body approximately 3 years ago. After light therapy, it subsided and I have had only tiny patches here and there for the past two years. When my most recent "fibro" flare-up occurred, it continued unabated, with tendonitis symptoms in my right arm, pain in my sacroiliac and spine, and knees. I have none of the so-called tell-tale signs, such as swelling or nail involvement. I found a rheumatologist. After she was careful to eliminate other possible causes through a battery of tests and X-rays, she diagnosed me with PsA, and has prescribed Humira. The other options we discussed were Enbrel and Methotrexate. I am awaiting insurance company approval. I have read everything I could find online, most of which is noncommittal about the best routes to take. I am interested in practical advice, suggestions, recommendations about care, treatment, insurance, etc. Thank you for any help.